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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />Please complete this form when the attached agreement and all 9' <br />amendments (if any) are no longer in effect. C'T <br />Return form to the Clerk of the Council Office (M -30). <br />Call 647 -6520 if you have any questions. <br />The agreement with Epolice Report, LLC <br />No. N- 2009- 126 -001 was completed on 04/30/2015 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />N- 2009- 126 -002 Department: Police Department <br />Phone/Ext.: 71 245-8004 <br />Signature: <br />Date: 04/30/2015 <br />Revised 08 -23-10 <br />